| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.45 | $20.45 | $24.38 | |
BCBS
| Professional | $26.22 | $26.22 | $105.99 | |
Cigna
| Professional | $21.06 | $24.68 | $115.00 | |
Medcost
| Facility | $20.45 | $31.79 | $55.00 | |
Molina
| Professional | $14.42 | $14.42 | $14.42 | |
United
| Professional | $15.73 | $19.93 | $52.44 |